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Table 1 Summary of infant colic and manual therapy RCTs

From: Chiropractic diagnosis and management of non-musculoskeletal conditions in children and adolescents

Authors

N

Age and treatment numbers, type of treatment

Instrument

Therapy/Control

SSD

Level of evidence

Mercer and Nook

30

0 to 8 weeks of age; maximum of 6 treatments in 2 weeks, manual therapy (MT)

Subjective parent report questionnaires before treatment and subsequent visits

Chiropractic MT to spinal fixations v control of non functional detuned ultrasound machine

yes

C

Wiberg, Nordsteen and Nilsson

50

Treatment mean age 4.9; control mean age 5.9; 3-5 treatments over 2 weeks; manual therapy treatment

Validated crying diary

Light pressure with the finger tips v semithicone as control

yes

C

Olafsdottir, Forshei, Fluge and Markestad

100

3 to 9 wks of age, maximum of 3 treatments over maximum of 8 days;

Manual therapy treatment

Crying diary and questionnaire at each visit. At the end of the observation period, the parents were contacted by telephone and interviewed

Light fingertip pressure on thoracic spine. Control infants were held by the nurse for 10 minutes with light back massage after being partially undressed in a similar way as treated infants

No; both groups had a mean reduction in crying from 5.1-5.4 to 3.1 hours per day

C

Koonin, Karpelow-sky, Yelverton and Brent-Rubens

31

Treatment mean age 5.7 weeks;control mean age 5.9 wks; 6 treatments maximum over 2 weeks; manual therapy treatment

Pre, post and follow up questionnaire

Chiropractic manual therapy with allopathic medication v allopathic medication alone

yes

C

Hayden and Mullinger

28

Treatment mean 6.6 weeks of age, control mean age 6.4 weeks; 2-4 treatments of manual therapy

Diary

Cranial osteopathic manual therapy v no treatment

yes

C

  1. SSD-statistically significant difference; N-number of patients; C-level of evidence defined by Bronfort 1997